脉络膜破裂大部分是由撞击引起的对冲伤,冲击力通过玻璃体传导眼底引起,因此一般脉络膜破裂会有比较明确的外伤或者钝挫伤病史。本文将报告1例16岁体校男生在无明显外伤史出现多发性脉络膜破裂伤,通过查阅文献发现有文献报道在隐匿性假性黄色瘤(pseudoxanthoma elasticum,PXE)疾病中可在无明显外伤或轻微外伤出现脉络膜破裂,并根据文献复习考虑本病例为隐匿性PXE可能。
Most of the choroidal rupture is mostly caused by impact injury, and the impact force is caused by the vitreous conduction through the fundus. Therefore, the choroidal rupture generally has a clear history of trauma or blunt trauma. This article will report a case of a 16-year-old boy in a sports school who developed multiple choroidal ruptures without obvious trauma history. Through literature review, it was found that choroidal rupture can occur without obvious or minor trauma in subtle pseudoxanthoma elasticum (PXE) disease, and based on literature review, this case was considered as a possibility of subtle PXE.
报道1例睫状体无色素上皮腺瘤(adenoma of nonpigmented ciliary epithelium,ANPCE)并进行相关文献复习。患者主要症状为左眼视力逐渐下降3个月,视物不清半个月。经眼部检查及左眼超声生物显微镜(ultrasound biomicroscopy,UBM)检查显示左眼虹膜周边隆起,边界清晰。予虹膜睫状体肿物切除术并行常规病理检查:光镜下肿瘤组织由分化好的上皮细胞组成,排列成腺泡状及条索状,细胞间可见红染无结构的基底膜样物;免疫组织化学表达:S-100(+)、Vimentin(+)、EMA(+)、CKpan(+)、Melan-A(+);最终病理诊断ANPCE。手术后截至随访日期,术后3个月无疾病进展。
A case of adenoma of nonpigmented ciliary epithelium (ANPCE) was reported and relevant literatures were reviewed. The left eye visual acuity of the patient gradually decreased for 3 months, and half a month was blurred vision. The vision examination and ultrasound biomicroscopy (UBM) from the left eye examination revealed a bulge in the peripheral iris in the left eye, with the boundaries are clear. The left eye was treated with ciliary mass resections and routine pathological examination: microscopy showed that the tumor tissue consists of well-differentiated epithelial cells, the tumor cells were arranged in tubes and cords, between the cells were seen red-stained unstructured basement membrane; immunohistochemistry showed: S-100 (+), Vimentin (+), EMA (+), CKpan (+), Melan-A (+); the final pathological diagnosis was ANPCE. There was no progression of the disease during the 3 months following the surgery on the follow-up date.